Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.39 / $7.01 / $10.87	Facility	26	$5.39	$7.01	$10.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $35.26 / $72.44	Professional		$26.42	$35.26	$72.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.78 / $8.07 / $17.68	Professional	26	$5.78	$8.07	$17.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $39.24 / $39.24 / $59.06	Professional	50	$39.24	$39.24	$59.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.03 / $26.54 / $51.40	Professional	TC	$21.03	$26.54	$51.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $31.41 / $66.45	Professional		$29.57	$31.41	$66.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.34 / $8.11 / $19.02	Professional	26	$6.34	$8.11	$19.02
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.32 / $20.32 / $20.32	Professional	TC	$20.32	$20.32	$20.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $28.01 / $42.05	Professional		$6.96	$28.01	$42.05
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $33.70 / $44.15 / $60.42	Professional		$33.70	$44.15	$60.42
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.85 / $8.44 / $28.03	Professional	26	$7.85	$8.44	$28.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $37.86 / $73.31	Professional		$27.86	$37.86	$73.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.73 / $10.11 / $18.22	Professional	26	$6.73	$10.11	$18.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.12 / $29.02 / $56.81	Professional	TC	$20.12	$29.02	$56.81
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $22.09 / $100.00 / $100.00	Facility	26	$22.09	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $260.95 / $260.95 / $337.88	Professional		$260.95	$260.95	$337.88
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $67.95 / $83.63 / $83.63	Professional	26	$67.95	$83.63	$83.63
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $207.72 / $207.72 / $269.93	Professional	TC	$207.72	$207.72	$269.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $64.05 / $106.63	Professional		$26.03	$64.05	$106.63
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.52 / $13.35 / $32.36	Professional	26	$10.52	$13.35	$32.36
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $39.95 / $50.70 / $122.92	Professional	TC	$39.95	$50.70	$122.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $37.02 / $69.43	Professional		$9.13	$37.02	$69.43
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $43.48 / $99.35	Professional		$28.55	$43.48	$99.35
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $9.61 / $18.03	Professional	26	$6.84	$9.61	$18.03
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $20.27 / $29.00 / $55.59	Professional	TC	$20.27	$29.00	$55.59
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.36 / $59.54	Professional		$29.51	$37.36	$59.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $9.02 / $15.34	Professional	26	$7.41	$9.02	$15.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.22 / $28.80 / $49.02	Professional	TC	$21.22	$28.80	$49.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $36.96 / $52.68	Professional		$33.13	$36.96	$52.68
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $7.92 / $10.96	Professional	26	$6.90	$7.92	$10.96
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $26.23 / $29.04 / $41.72	Professional	TC	$26.23	$29.04	$41.72